Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 9601409 | NC |
Y | 208600000X | Surgeon | 9601409 | NC |
N | 2086X0206X | Surgical Oncologist | MD424035 | PA |
NPI | 1114935749 |
---|---|
Provider Name | Dr. Paul J Mosca |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 20/10/2010 |